33D2226510 CLIA NUMBER - WALGREENS #18990

Laboratory Demographics

  • CLIA Code: 33D2226510
  • Facility Name: WALGREENS #18990
  • Facility Address: 3590 EAST TREMONT AVE
    BRONX, NY
    ZIP 10465
  • Facility Phone: 718 792-9258
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ZEIAD FAKHOURI
  • NPI Number: 1962926139
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2226510
LAB Type Pharmacy
Facility Name WALGREENS #18990
Street 3590 EAST TREMONT AVE
City BRONX
State NY
ZIP 10465
Phone 718 792-9258
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2021
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. ZEIAD FAKHOURI

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This page was last updated on: 9/29/2025